SAM'S CLUB OPTICAL (NPI# 1881924413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881924413 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | VISION CENTER 30-4805 |
| Practice Address |
4420 King Avenue East Billings MT 59101 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4062567277 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |
| Authorized Official Name | MRS. HOLLY C WILKINSON (CARRIER SPECIALIST) |
| Authorized Official Telephone | 4792048320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-4805 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589111 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 450 Townsend Road, Cocoa, FL 32926 | 2009-07-01 |
| 1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
| 1093951956 | Sam's Club Optical | Technician/Technologist | 755 N. Hwy 27/441, Lady Lake (the Villages), FL 32159 | 2008-12-24 |
| 1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
| 1720236011 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 2000 Clements Bridge Rd Ste 116, Deptford, NJ 08096-2011 | 2008-08-29 |
| 1184886913 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 11278 South Jordan Gtwy, South Jordan, UT 84095 | 2008-07-02 |
| 1356516116 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3839 Mundy Mill Road, Oakwood, GA 30566 | 2008-04-23 |
| 1104095801 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 7100 West Arroyo Crossing Pkwy, Las Vegas, NV 89113 | 2008-02-27 |
| 1114101193 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 2650 East Craig Road, North Las Vegas, NV 89030 | 2007-12-26 |
| 1881876118 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 440 Payne Rd, Scarborough, ME 04074-8928 | 2007-11-28 |
| Street Address |
4420 KING AVENUE EAST |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245896638 | Shoptikal LLC | Technician/Technologist | 316 S 24th St W Ste 101b, Billings, MT 59102-5605 | 2019-05-12 |
| 1558561191 | Paul Duane Scheie | Technician/Technologist | 905 Broadwater Sq, Billings, MT 59101-1634 | 2007-07-23 |
| 1720175888 | Barnett Opticians | Technician/Technologist | 2203 Broadwater Ave, Billings, MT 59102-4713 | 2006-10-09 |
| 1942309950 | Lenscrafters Inc | Technician/Technologist | 300 S 24th St W, Billings, MT 59102-5650 | 2006-09-22 |
| 1609887637 | Us Vision Optical Inc | Technician/Technologist | 140 S 24th St W, Billings, MT 59102-5604 | 2006-08-11 |
| 1063464063 | Shopko Stores Operating Co. LLC | Technician/Technologist | 905 S 24th St W, Billings, MT 59102-7408 | 2006-05-17 |
| 1942715420 | Erica N Guyton | Technician/Technologist | 801 N 29th St Fl 4, Billings, MT 59101-0905 | 2017-12-06 |
| 1346764792 | Billings Vision Center | Technician/Technologist | 1331 24th St W, Billings, MT 59102-3860 | 2017-07-27 |
| 1437585072 | Debbie M Couch | Technician/Technologist | 1212 Grand Ave, Billings, MT 59102-4259 | 2013-09-15 |
| 1598102121 | Phillip Parker | Technician/Technologist | 801 N 29th St, Billings, MT 59101-0905 | 2013-05-22 |
| Find all providers in BILLINGS | ||||
Please comment or provide details below to improve the information on SAM'S CLUB OPTICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.